• Find People
  • Campus Map
  • PiratePort
  • A-Z
    • About
    • Submit
    • Browse
    • Login
    View Item 
    •   ScholarShip Home
    • Other Campus Research
    • ECU Open Access Publishing Support
    • Carolina Consortium Publication Agreements
    • View Item
    •   ScholarShip Home
    • Other Campus Research
    • ECU Open Access Publishing Support
    • Carolina Consortium Publication Agreements
    • View Item
    JavaScript is disabled for your browser. Some features of this site may not work without it.

    Browse

    All of The ScholarShipCommunities & CollectionsDateAuthorsTitlesSubjectsTypeDate SubmittedThis CollectionDateAuthorsTitlesSubjectsTypeDate Submitted

    My Account

    Login

    Statistics

    View Google Analytics Statistics

    Risk aversion in the use of complex kidneys in paired exchange programs: Opportunities for even more transplants?

    Thumbnail
    View/ Open
    Article (644.3Kb)

    Show full item record
    Author
    Roll, Garrett R.; Cooper, Matthew; Verbesey, Jennifer; Veale, Jeffrey L.; Ronin, Matthew; Irish, William; Waterman, Amy D.; Flechner, Stuart M.; Leeser, David B.
    Abstract
    This retrospective review of the largest United States kidney exchange reports characteristics, utilization, and recipient outcomes of kidneys with simple compared to complex anatomy and extrapolates reluctance to accept these kidneys. Of 3105 transplants performed, only 12.8% were right kidneys and 23.1% had multiple renal arteries. 59.3% of centers used fewer right kidneys than expected and 12.1% transplanted zero right kidneys or kidneys with more than 1 artery. Five centers transplanted a third of these kidneys (35.8% of right kidneys and 36.7% of kidneys with multiple renal arteries). 22.5% and 25.5% of centers currently will not entertain a match offer for a left or right kidney with more than one artery, respectively. There were no significant differences in all-cause graft failure or death-censored graft loss for kidneys with multiple arteries, and a very small increased risk of graft failure for right kidneys versus left of limited clinical relevance for most recipients. Kidneys with complex anatomy can be used with excellent outcomes at many centers. Variation in use (lack of demand) for these kidneys reduces the number of transplants, so systems to facilitate use could increase demand. We cannot know how many donors are turned away because perceived demand is limited.
    URI
    http://hdl.handle.net/10342/10978
    Subject
     kidney paired exchange; multiple renal artery kidneys; right donor nephrectomy 
    Date
    2022-02-18
    Citation:
    APA:
    Roll, Garrett R., & Cooper, Matthew, & Verbesey, Jennifer, & Veale, Jeffrey L., & Ronin, Matthew, & Irish, William, & Waterman, Amy D., & Flechner, Stuart M., & Leeser, David B.. (February 2022). Risk aversion in the use of complex kidneys in paired exchange programs: Opportunities for even more transplants?. , (), - . Retrieved from http://hdl.handle.net/10342/10978

    Display/Hide MLA, Chicago and APA citation formats.

    MLA:
    Roll, Garrett R., and Cooper, Matthew, and Verbesey, Jennifer, and Veale, Jeffrey L., and Ronin, Matthew, and Irish, William, and Waterman, Amy D., and Flechner, Stuart M., and Leeser, David B.. "Risk aversion in the use of complex kidneys in paired exchange programs: Opportunities for even more transplants?". . . (), February 2022. October 03, 2023. http://hdl.handle.net/10342/10978.
    Chicago:
    Roll, Garrett R. and Cooper, Matthew and Verbesey, Jennifer and Veale, Jeffrey L. and Ronin, Matthew and Irish, William and Waterman, Amy D. and Flechner, Stuart M. and Leeser, David B., "Risk aversion in the use of complex kidneys in paired exchange programs: Opportunities for even more transplants?," , no. (February 2022), http://hdl.handle.net/10342/10978 (accessed October 03, 2023).
    AMA:
    Roll, Garrett R., Cooper, Matthew, Verbesey, Jennifer, Veale, Jeffrey L., Ronin, Matthew, Irish, William, Waterman, Amy D., Flechner, Stuart M., Leeser, David B.. Risk aversion in the use of complex kidneys in paired exchange programs: Opportunities for even more transplants?. . February 2022; (): . http://hdl.handle.net/10342/10978. Accessed October 03, 2023.
    Collections
    • Carolina Consortium Publication Agreements

    xmlui.ArtifactBrowser.ItemViewer.elsevier_entitlement

    East Carolina University has created ScholarShip, a digital archive for the scholarly output of the ECU community.

    • About
    • Contact Us
    • Send Feedback